Partial auricular wedge resection for both structural support and soft tissue coverage

Castillo, Alexander; Malone, C. Helen; Subrt, Adrian; Wagner, Richard F.

doi:10.1016/j.jaad.2017.03.042

Cited by 4 publications

(5 citation statements)

References 1 publication

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“…Wedge closures and chondrocutaneous advancement flaps are classically limited to 1.5 cm and up to 2.5-cm defects, respectively. 1,2 Partial wedge closures can be used in combination with full thickness skin grafts and chondrocutaneous advancement flaps to expand the defect size amenable to these types of closures. 1 However, reconstruction of large defects with a wedge procedure with or without a chondrocutaneous advancement flap can result in severe anatomic distortion, cupping, and an inability to wear a hearing aid.…”

Section: Resolutionmentioning

confidence: 99%

Reconstruction of a Large Full Thickness Defect of the Superior Auricle

Kohorst

Boisen

Guidry

et al. 2021

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Section: Resolutionmentioning

confidence: 99%

Reconstruction of a Large Full Thickness Defect of the Superior Auricle

Kohorst

Boisen

Guidry

et al. 2021

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“…Although the pedicle in this case was small, the risk of necrosis is much less than with the use of an FTG and therefore preferable. 1…”

Section: Resolutionmentioning

confidence: 99%

“…Although the pedicle in this case was small, the risk of necrosis is much less than with the use of an FTG and therefore preferable. 1 First, a flap was created using the remaining part of the dorsal side of the center of the 22 3 12-mm defect where the cartilage was lost. After the flap was carefully dissected, it was pedicled on the musculus auricularis posterior.…”

Section: Resolutionmentioning

confidence: 99%

Challenging Repair of a Helical Rim Defect

Ottevanger

Marsidi

Genders

2021

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“…An interesting technique for the closure of large midhelix‐antihelix defects in patients requesting a single‐step procedure is partial wedge resection and subsequent coverage of the remaining defect with the resected wedge tissue, used as a skin graft .…”

Section: Simple Single‐step Techniquesmentioning

confidence: 99%

Surgical management of skin cancer and trauma involving the middle third of the auricle

Crişan

Schneider²,

Kastler

et al. 2018

J Deutsche Derma Gesell

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SummaryThe main causes of acquired auricular defects are surgical treatment of skin tumors and trauma. Due to the complex anatomy of the external ear, surgical reconstruction of defects in this area is challenging for surgeons, especially in case of midhelix-antihelix involvement with significant loss of soft tissue and cartilage.Our purpose is to illustrate the main reconstructive techniques of large midhelix and antihelix defects, as well as the advantages or disadvantages associated with each surgical procedure. Primary closure/wedge technique is mainly used in elderly, multimorbid subjects where single-stage procedures are desirable, but several complex chondrocutaneous, retroauricular, temporoparietal full-thickness flap procedures can also be used to recreate an ear with normal appearance.Auricular reconstruction of large midhelix-antihelix defects requires a good knowledge of auricular anatomy and the various surgical procedures available for such defects.

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Partial auricular wedge resection for both structural support and soft tissue coverage

Cited by 4 publications

References 1 publication

Reconstruction of a Large Full Thickness Defect of the Superior Auricle

Reconstruction of a Large Full Thickness Defect of the Superior Auricle

Challenging Repair of a Helical Rim Defect

Surgical management of skin cancer and trauma involving the middle third of the auricle

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